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OptimizeGx

Revolutionizing Prior Authorization for Specialty Medications.
              
Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx.Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx. 
Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx.Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx. 
Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx.Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx. 
Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx.Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx. 
Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx.Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx. 
Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx.Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx. 
Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx.Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx. 
Automated Prescription Optimization and Pre-Check
Streamlined Prescription Optimization
OptimizeGx integrates with EHRs to optimize prescriptions, considering patient factors like organ function and drug interactions. It aids informed decisions and performs preliminary authorization checks to reduce errors or rejections.
Seamless Prior Authorization Completion
Automated Prior Authorization
OptimizeGx automates real-time prior authorizations, reducing provider admin work and speeding up approvals, eliminating delays and streamlining medication access.
AI-Enhanced Review Process for PBMs
AI-Driven Authorization Efficiency
OptimizeGx leverages AI with ReviewGx to give PA specialists real-time access to clinical data, enabling faster, informed decisions on claim approvals and reducing communication delays. This improves approval rates and enhances the patient experience.
Anual Cost Saving
By transitioning to OptimizeGx, a healthcare system processing 100,000 Pas annually could save approximately $1.3 million. ​
Time Savings
The system would save over 2.2 millions per year.​
Reduction in Denials
The Al-enhanced process would result in 7,500 fewer denials annually.​
Baseline at 3.5 stars:
-$0 in QBPs for a plan with 10,000 members
Baseline at 4.5 stars:
-5% bonus on per-member payments for CMS. --- - -Annual QBP Increase : $40/member/month x 10,000 members x 12 months = $4.8 million additional revenue
Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx.Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx. 
Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx.Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx. 
Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx.Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx. 
Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx.Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx. 
Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx.Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx. 
Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx.Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx. 
Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx.Revolutionizing Prior Authorization for Specialty Medications with OptimizeGx. 

Hear what our clients say about OptimizeGx

John S.Director of Utilization Management

Payer Testimonial

OptimizeGx has transformed our prior authorization process, reducing approval times and administrative costs significantly. The seamless integration with our systems and real-time eligibility checks help us ensure that patients receive the right medications without unnecessary delays. It’s truly a game-changer for both us and the providers we work with.”

Sara M.Senior Manager of Prior Authorization

PBM Testimonial

“With OptimizeGx, our PA specialists have instant access to the clinical data they need to make informed decisions, eliminating the typical back-and-forth with providers. This has streamlined our workflow and improved the efficiency of our operations, allowing us to better support patients and providers alike.”

Dr Emily R.Family Medicine Specialist

Physician Testimonial

“Integrating OptimizeGx into our EHR has simplified the prescribing process immensely. It ensures that my patients get the medications they need without the usual delays and bureaucratic hurdles. Knowing that the prior authorization is handled seamlessly at the point of care has allowed me to focus more on what truly matters—patient care.”

David L.Vice President of Market Access

Pharmaceutical Company Testimonial

“OptimizeGx offers invaluable insights into the prescribing landscape, helping us understand real-world medication use and patient access barriers. This data allows us to collaborate more effectively with healthcare providers and payers to ensure that innovative therapies reach the patients who need them most.”

“Want to learn more about our Software and Platform-as-a-Service subscription tiers? Contact us now!

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